Provider Demographics
NPI:1134702988
Name:TORRES SOLANO, HILDA ROSA
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:ROSA
Last Name:TORRES SOLANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11311 LA GRANGE AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6865
Mailing Address - Country:US
Mailing Address - Phone:310-422-5424
Mailing Address - Fax:
Practice Address - Street 1:11311 LA GRANGE AVE APT 201
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6865
Practice Address - Country:US
Practice Address - Phone:310-422-5424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider